General

HIPAASpace is an online service, providing a set of tools, including the
validation of HIPAA EDI documents for conformance to Health
Insurance Portability and Accountability Act (HIPAA) regulations, NPI
number validation, NPI registry lookup, and many more HIPAA-related
services. The service is useful to the following:

Providers - Verifies their claims before submitting them to a clearing house or payer
directly

Medical services organizations who provide intermediate handling of
claims and other HIPAA documents -Verifies that the
document is HIPAA-compliant before sending it for further processing

Payers - Verifies incoming documents from providers and
clearing houses in a batch.

There is also a standalone solution for payers
and mass-processors that allows them to bypass online forms and submit
documents quickly in large batches. It will also produce an audit report.

What is HIPAA Compliance and why should I care about it?

The Health Insurance Portability and Accountability Act (HIPAA) is a federal
regulation enacted in 1996. This document has the power of law
and must be followed by all legal participants in the
Healthcare industry. This document defines standards for electronic
health information transactions, including claims, enrollment,
eligibility, payment, and coordination of benefits; security and privacy regulations.
Why should anybody care about it? Because the bill imposes monetary penalties
and prison for certain violations.

However, HIPAA is not about punishment and
prosecution, but rather simplification and automation of business
processes between providers, payers, and clearing houses. Properly established electronic
document interchange processes allow companies to save billions
of dollars by the elimination of paper claims processing.
It is estimated that the average cost of paper claim processing by
a provider is $22 while the cost of an electronic claim submission and
handling is $.37. This provides a huge monetary benefit and reduces
related costs such as claim correction, administrative
resources, and error handling. Electronic submission of HIPAA documents
contributes substantially to business success.

The role of HIPAASpace in the process

HIPAASpace is a complex online solution based on the Boost Clusters
engine, providing data handling, validation, conversion, and audit report
generation. The main goal is to help our customers identify problems with their HIPAA document
early in the process and to reduce or eliminate the costs related to errors and claim returns.
HIPAASpace is an intermediate step between the creation of the document by a provider
and receipt of this document by a payer. You can integrate the service
at any step of the process. It can be used by providers to ensure
that the claims are valid and to reduce losses and by payers to
make sure that claims received from providers are valid and can be
sent for further handling to internal systems.

How it works

The HIPAASpace system contains of several layers:

Front-end

Inbound security

De-identification

Validation

Conversion

Report creation

Outbound security

HIPAASpace data flow - the user submits the
file either through the front-end, consisting of an online form (convenient for single document
submission) or the In-Stream technology of the Boost Clusters engine.
In the inbound security layer, the data is encrypted with the highest level of SSL encryption
currently available. This ensures against any data leaks during the process.
As a part of the inbound security process, HIPAASpace performs data de-identification
to prevent any parts of the system from accessing the Protected Health Information (PHI)
that may be sent in the HIPAA document. After that, the secured
data proceeds to validation and conversion. All these steps are powered by
the Boost Clusters engine that provides a complete set of compliance validation
procedures. For the user's convenience, it is possible to get the XML
representation of the HIPAA file. This XML data can then be used in a
wide variety of XML routing and mapping engines to satisfy your
trading partner agreements. Based on the validation results, the report creation
layer produces an audit report with a detailed explanation of all the errors
from the current document with recommendations for fixing the errors.
To prevent data from being lost or stolen on the outbound
end, an outbound security layer has been added to complete the security
cycle.

HIPAASpace comes as a free solution in the base modification, users
don't need to pay any fees or charger per claim verified. Since the
service comes without any obligations for users, HIPAASpace Team is
not responsible for any problems that may be caused by improper use of
this Service. We don't not guarantee that Payer will accept 100% of
claims verified with HIPAASpace, since in some cases reason for claim
rejecting lays beyond the technical abilities of the current Service.

National Provider Identifier (NPI) Validation

National Provider Identifier (NPI) is the number used in healthcare to uniquely identify Providers. This number comes as a replacement to Unique Physician Identification Number (UPIN),
which is not going to be supported by CMS after complete NPI
implementation. NPI was inforced in May 23rd 2007 and is mandatory for
all Providers while filing HIPAA claim. Legacy identificators will no
longer be used for provider identification. National Provider Identifier (NPI) Validation
has the purpose of providing people with the validation of NPI Number
format, which is a packed binary sequence. It is important to be sure
that format is correct, in order not spend hours figuring our why the
claim was rejected. However, this validation does not ensure that the
NPI Number submitted was actually registed with CMS. This National Provider Identifier (NPI) Validation should be considered as the first essential step before working with any NPI number Provider receives.

National Provider Identifier (NPI) Lookup

HIPAA
Space team has collected a huge database of NPI Numbers, to help people
interacting and exchanging their NPI Numbers. Right now NPI Sharing is really an issue for thousands of people across the USA since they have to share and exchange their NPI information. National Provider Identifier (NPI) Lookup
solves this problem by providing all participants with the
comprehensive and reliable lookup solution for their NPI exchange
needs.

Current technical limitations for version 1.7.2

Following technical notes are to be considered while using the Service.
HIPAASpace is now in the Beta stage, due to this some restrictions may
apply. Please feel free to send us your feedback - Team will respond
within one business day and the issue will get addressed as soon as
possible. Current limitations are:

Only
files, containing one interchange, one group and one transaction will
be validated, however XML structure will be available for all HIPAA
files

Before CMS releases the full NPI Registry, HIPAA
Space team has to work based on the database collected with help of our
partners and interested individuals, however the currently available
database is the largest in the internet

What's coming soon

HIPAASpace Team is now working on 2.0 Release version of the product,
the following items are now in the work and will be available
completely or in the form of preview:

Extended set of HIPAA Transactions: HIPAA transactions of Versions 5020

Online submissions forms - Providers will be able to submit forms online, and HIPAASpace will compose the EDI document for you

Members
area - allows to keep track of your documents, specify what kind of
statistics you would like to collect, preferred reports, etc.

Codelist lookup services

Access for Mobile users

Apple Mac (Safari) compatibility certification

Should you have any questions about the HIPAASpace, please feel free to send us Feedback.